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Short and long-term labour market consequences of coronary heart disease: a register-based follow-up study

Marie Kruse1, Jan Sørensen, Michael Davidsen

  • 1National Institute of Public Health, Copenhagen, Denmark. mak@niph.dk

European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology
|March 26, 2009
PubMed

Insights

Individuals with coronary heart disease (CHD) are at higher risk of leaving the labor market early. Cardiac rehabilitation should focus on helping younger patients and manual laborers return to work.

Area of Science:

  • Cardiology
  • Public Health
  • Occupational Medicine

Background:

  • Coronary heart disease (CHD) significantly impacts individuals' lives, including their ability to maintain labor market participation.
  • Early withdrawal from employment can have substantial socioeconomic consequences for individuals with CHD and society.

Purpose of the Study:

  • To quantify the extent to which individuals with CHD exit the labor market prematurely compared to those without CHD.
  • To explore the implications of labor market withdrawal for cardiac rehabilitation strategies.

Main Methods:

  • Utilized the Danish National Cohort study to identify individuals with CHD.
  • Employed Cox regression analysis to compare long-term withdrawal risks between matched CHD and non-CHD cohorts over a 23-year follow-up period.

Main Results:

  • In the year post-admission, 79% of individuals with CHD remained in the workforce versus 93% of controls.
  • Individuals with CHD faced a 32% higher risk of labor market withdrawal (Hazard Ratio: 1.32), resulting in 0.8 years less on average.
  • Younger individuals (under 60) and manual laborers with CHD showed a particular need for rehabilitation support to maintain employment.

Conclusions:

  • Individuals with CHD exhibit a significantly elevated risk of labor market withdrawal.
  • Younger patients and manual laborers with CHD appear to encounter greater challenges in sustained employment.
  • Enhanced focus on labor market reintegration within cardiac rehabilitation programs may prove beneficial for these specific subgroups.
Abstract

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